Information Collection

Internet Student CPR Web Registration Application

IC 190126 under ICR 200907-2900-009 · OMB 2900-0746.

Documents and Forms

Document Name Document Type
Form VA Form 10-0468 Internet Student CPR Web Registration Application Form
VA Form 10-0468 CPR Class Registration VA form 10-0468.pdf To Be Determined Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Internet Student CPR Web Registration Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 10-0468	CPR Class Registration	VA form 10-0468.pdf	To Be Determined	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.